One of the main reasons for this hesitancy (from going to the surgery) is the high cost of surgery. They have to pay 4-5 times their monthly salary to do surgery. So, they want to take a chance first.
It's good to hear that your son survived the burst appendix. How did it go that far? Was he homeless at that time too? [I read posts about your son (sons) being homeless!].
!ALIVE